HomeMy WebLinkAboutMiscellaneous - 95 KARA DRIVE 4/30/2018June 14, 2004
Building Inspector's Office
Town Clerk's Office
400 Osgood St.
N. Andover, MA. 01845
Insured: Alan E Swahn
Property Address: 95 Kara Drive, North Andover, MA, 01845
Underwriting Company: The Northern Assurance Company of America
Policy Number: NBSH59390
Date of Loss: 06/09/2004
Claim Number: OBG16316B BX06
Claim has been made involving loss, damage or destruction of the above -captioned
property, which may either exceed $1000 or cause Massachusetts General Laws,
Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General
Laws, Chapter 139, Section 313 is appropriate, please direct it to the attention of this
writer and include a reference to the above -captioned insured, location, policy number,
date of loss and claim number.
On this date, I caused copies of this notice to be sent to the persons named above at the
address indicated above by first class mail.
Signature:
David B. Brenton, Adjuster
OneBeacon Insurance Group Claims Department P.O. Box 694, Foxboro, MA, 02035
Phone: (508) 851-2690 Fax: (877) 386-1023 www.onebeacon.com
�C AMERICAN CLAIMS SERVICE
SMULTI -LINE ADJUSTERS
BUILDING COMMISSIONER OR
INSPECTOR OF BUILDINGS
120 Main Street
N. Andover, MA 01845
RE: INSURED:
PROPERTY ADDRESS:
POLICY NUMBER:
LOSS OF:
shingles
FILE/CLAIM NUMBER
BOARD OF HEALTH OR
BOARD OF SELECTMAN
Alan E. Swahn
95 Kara Drive, N. Andover, MA
NBSH59390
5/26/05, Wind & rain damaged roof
25416 PD
Claim has been made involving loss, damage or destruction of the
above -captioned property, which may either exceed $1,000.00 or
cause Massachusetts General Laws, Chapter 143, Section 6, to be
applicable. If any notice under Massachusetts General Laws,
Chapter 139, Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned
insured, location, policy number, date of loss and claim file
number.
Gerard Gillespie
Claims Representative
On this date, I caused copies of this notice to be sent to the
persons named above at the addresses indicated above by first
class mail.
Unless we hear from you within the next 10 days, we will not be
obligated to pay any portion of this claim to you.
June 2, 2005
Date
7 KIMBALL LANE, BUILDING C, LYNNFIELD, MASSACHUSETTS 01940
TELEPHONE (781) 245-9516 • FAX: (781) 245-1077
�� AMERICAN CLAIMS SERVICE
MULTI -UNE ADJUSTERS
V
BUILDING COMMISSIONER OR
INSPECTOR OF BUILDINGS
120 Main Street
N. Andover, MA 01845
RE: INSURED:
PROPERTY ADDRESS:
POLICY NUMBER:
LOSS OF:
shingles
FILE/CLAIM NUMBER
BOARD OF HEALTH OR
BOARD OF SELECTMAN
Alan E. Swahn
95 Kara Drive, N. Andover, MA
NBSH-59390
5/26/05, Wind & rain damaged roof
25416 PD
Claim has been made involving loss, damage or destruction of the
above -captioned property, which may either exceed $1,000.00 or
cause Massachusetts General Laws, Chapter 143, Section 6, to be
applicable. If any notice under Massachusetts General Laws,
Chapter 139, Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned
insured, location, policy number, date of loss and claim file
number.
Gerard Gillespie
Claims Representative
On this date, I caused copies of this notice to be sent to the
persons named above at the addresses indicated above by first
class mail.
Unless we hear from you within the next 10 days, we will not be
obligated to pay any portion of this claim to vou.
June 2, 2005
Date
7 KIMBALL LANE, BUILDING C, LYNNFIELD, MASSACHUSETTS 01940
TELEPHONE (781) 245-9516 , FAX: (781) 245-1077